Guidelines for the treatment of chronic myeloid leukemia from the NCCN and ELN: differences and similarities

Int J Hematol. 2023 Jan;117(1):3-15. doi: 10.1007/s12185-022-03446-1. Epub 2022 Sep 5.

Abstract

Patients diagnosed with chronic myeloid leukemia (CML) in chronic phase can now have a life expectancy comparable to that of the general population thanks to the use of tyrosine kinase inhibitor (TKI) therapies. Although most patients with CML require lifelong TKI therapy, it is possible for some patients to achieve treatment-free remission. These spectacular results have been made possible by the development of superior treatment modalities as well as clinicians' efforts in strictly adhering to clinical guidelines such as the National Comprehensive Cancer Network (NCCN) and European Leukemia Network (ELN). CML treatment recommendations reported in these guidelines are the result of years of selecting and incorporating the most reliable evidence. In this review, we provide a synopsis of the differences and similarities that exist between the NCCN and ELN guidelines.

Keywords: Chronic myeloid leukemia; European LeukemiaNet; National comprehensive cancer network; Treatment-free remission; Tyrosine kinase inhibitors.

Publication types

  • Review

MeSH terms

  • Humans
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive* / drug therapy
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive* / epidemiology
  • Molecular Targeted Therapy
  • Protein Kinase Inhibitors*

Substances

  • Protein Kinase Inhibitors